Individual
MOLLIE LAURIENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5924 68TH RD APT 2, RIDGEWOOD, NY 11385-4446
(201) 360-1386
Mailing address
5924 68TH RD APT 2, RIDGEWOOD, NY 11385-4446
(201) 360-1386
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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